Wakambopinzwa bhegi mudumbu mako nekuda kwechirwere here? Izvi zvinonzi stoma mumashoko ekurapa. Kurarama nenzira iyi kunogona kuomera zvishoma uye kutonetsa zvishoma. Mubvunzo mukuru uri mupfungwa dzevanhu vazhinji ndewekuti, "Ndichazombokwanisa kuenda kuchimbuzi sezvandaiita kare here?" Pane mhinduro yakanaka kumubvunzo iwoyo. Kune vanhu vazhinji, stoma iyi yenguva pfupi inogona kuchinjwa nekuvhiyiwa kumwe (reversal surgery) uye yodzorerwa padanho ravanogona kuita tsvina nenzira yakajairika. Ngatitaurei nezvazvo zvakadzama nhasi.
Munhu wese anogona kuvhiyiwa here?
Uyu mubvunzo unokosha zvikuru. Ini nachiremba wako tichasarudza pamwe chete kana kuvhiyiwa uku kwekubvisa stoma kwakakunakira iwe kana kwete. Pane zvinhu zvakati wandei zvekufunga nezvazvo pakusarudza uku.
- Hutano hwako hwese: Muviri wako unofanirwa kuva nehutano hwakanaka kuti uvhiyiwe nenzira iyi uye upore nekukurumidza mushure mekuvhiyiwa.
- Huwandu hwerectum yasara mushure mekuvhiyiwa kwekutanga: Kuti udzorerezve magumo maviri eura, panofanira kunge paine rectum yakakwana yasara.
- Simba retsandanyama dzemudumbu: Chiremba achaongororawo kana tsandanyama dzakatenderedza dumbu rako dzakasimba zvakakwana kuti dzipe simba rinodiwa kuti tsvina ibude.
- Chirongwa chako chekurapa: Kana uri kurapwa chirwere chakadai sekenza, kuvhiyiwa uku kuchamiswa kusvika kurapwa kwese ikoko (semuenzaniso, chemotherapy) kwapera.
Zvichitaurwa zviri nyore, chinhu chikuru pano ndechekuti muviri wako wagadzirira here kuvhiyiwa kwechipiri, uye kana zvichikwanisika kubatanidza ura zvakare.
Chiremba wako achakunyatsoongorora usati wavhiyiwa, uye kana zvichidikanwa, anogona kukukurudzira kuti uite maekisesaizi kana physiotherapy. Izvi zvichabatsira kusimbisa tsandanyama dziri mu rectum yako uye kukubatsira kuti ura hufambe zvakanaka mushure mekuvhiyiwa.
Ndeipi nguva yakanakisisa yekuvhiyiwa?
Kazhinji, nguva yakanakisisa yekuita oparesheni iyi yekudzoreredza chirwere inenge mwedzi mitatu mushure mekuvhiyiwa kwako kwekutanga. Zvisinei, pane dzimwe nguva apo zvinogona kutora kusvika gore. Chikonzero cheizvi ndechekupa maronda emukati nekuzvimba nguva yakakwana yekupora uye muviri kuti udzokere kune zvakajairika. Dzimwe nguva, kune vanhu vanovhiyiwa uku kunyangwe mushure memakore akati wandei. Saka musazvidya moyo, munogona kutaura nachiremba wenyu mosarudza nguva yakakunakirai.
Kuchinja kweColostomy & Ileostomy
Mu colostomy, chikamu cheura hwako hukuru (colon), uye mu ileostomy, chikamu cheura hwako hudiki (ileum), chinobviswa kuburikidza neganda redumbu rako kuti pave nestoma. Kunyange zvazvo nzira dzekuvhiya idzi mbiri dzakasiyana zvishoma, pfungwa huru yakafanana. Kureva kuti, magumo maviri eura hwakaparadzana anobatanidzwa zvakare kuitira kuti tsvina ipfuure nenzira yakajairika.
Kuvhiyiwa kunoitwa sei
1. Anesthesia: Kutanga, uchapihwa anesthesia. Saka hauzonzwi chero chinhu panguva yekuvhiyiwa, uchava wakarara zvachose.
2. Kubuda kweura: Tevere, chiremba anovhiya anozoburitsa zvishoma nezvishoma chikamu cheura hwako chakabatana neganda redumbu rako.
3. Anastomosis: Zvadaro, magumo maviri eura hwakaparadzana anodzoserwa pamwe chete uye anoiswa pamwe chete. Izvi zvinonzi anastomosis mukurapa. Kubatana uku kunogona kuitwa uchishandisa mhando chaiyo ye staples kana nekusona nemaoko.
4. Kuvharwa kweronda: Mushure mekunge ura hwabatanidzwa kubva mukati, stoma nekucheka kwekuvhiyiwa zvinovharwa.
Kuvhiyiwa uku kunowanzotora maawa maviri kusvika mana , asi kana uine mavanga kana hernia kubva pakuvhiyiwa kwakapfuura, zvinogona kutora nguva yakareba.
Matambudziko nenjodzi zvinogona kuitika mushure mekuvhiyiwa
Sekunge kune chero kuvhiyiwa kupi zvako, kune njodzi nematambudziko anogona kuitika. Zvisinei, izvi zvinogona kugadziriswa kazhinji. Kudzoserwa kwecolostomy kunoonekwa sekune njodzi yakakura zvishoma yematambudziko kupfuura kudzoserwa kweileostomy.
| Dambudziko rinogona kuitika | Zvinorevei izvo? |
|---|---|
| Utachiona hweRonda | Dambudziko rakadai sekutsvuka, kuzvimba, kurwadziwa, uye urwa hwakakomberedza ronda rekuvhiyiwa. |
| Ileus | Kuvharika kwechinguva kwematumbu, zvichidzivirira mweya, mvura, nechikafu kuti zvisafambe mberi. |
| Kuvharirwa kweMatumbu | Kuvharika kwenzira yemudumbu nekuda kwemavanga. |
| Kubuda kwemvura muAnastomotic | Tsvina inodonhera mudumbu ichibva panzvimbo yakabatana neura. Ichi chirwere chakakomba. |
| Hernia | Chikamu cheura chinobuda pasi peganda kuburikidza nestoma kana incision. |
| Sepsis | Chirwere chakakomba apo hutachiona hunopararira mumuviri wese uye hunogona kuisa hupenyu panjodzi. |
| Kana uine zviratidzo izvi, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara. | |
| |
Kana ukasvuta , kurega kana kuderedza kusvuta usati wavhiyiwa zvinogona kubatsira zvikuru kuderedza njodzi yehutachiona hwemaronda.
Nguva yekupora nezvinhu zvinotevera kumba
Mushure mekuvhiyiwa, unowanzogara muchipatara kwemazuva matatu kusvika gumi . Uchadzoserwa kumba kana wangokwanisa kudya chikafu chakasimba uye ura hwako hwadzokera pahwakajairika.
Zvekutarisira mushure mekudzokera kumba
Kufamba kwedumbu rako kunogona kuchinja zvishoma pakutanga. Usazvidya mwoyo, izvi zvakajairika.
- Tsvina ine mvura kana kuti isina kusimba: Pakutanga, tsvina yacho inogona kunge iine mvura shoma.
- Kuenda kuchimbuzi kakawanda: Ungangoda kuenda kuchimbuzi kakawanda pazuva.
- Kukurumidzira: Unganzwa kuda kuenda kuchimbuzi kana wangonzwa kuda kuita tsvina.
- Kunzwa sekunge hauna kubvisa zvese zviri mudumbu: Kunyangwe mushure mekuenda kuchimbuzi, unganzwa sekunge hauna kubvisa zvese zviri mudumbu.
Zviratidzo izvi zvakawanda zvinodzikira zvishoma nezvishoma uye zvinodzokera kune zvakajairika nekufamba kwenguva.
Kudya
Unofanira kungwarira zvakanyanya nezvekudya kwako panguva yekupora kwako.
- Kudya kusina fiber yakawanda: Mumavhiki ekutanga, chiremba wako achakupa zano rekuti udye chikafu chiri nyore kugaya uye chine fiber shoma.
- Kudya kudiki: Zviri nani kudya kashanu kusvika katanhatu pazuva pane kudya katatu kukuru pazuva.
- Inwa mvura yakawanda: Inwa mvura yakawanda nezvimwe zvinwiwa (zvakaita semajusi) mukati mezuva rose. Izvi zvakakosha zvikuru pakushanda zvakanaka kwedumbu.
- Mira zvinhu izvi kwechinguva:
- Zvikafu zvine mafuta, mafuta, uye zvinonhuhwirira.
- Zvekudya zvinozadza dumbu nemhepo, zvakaita sekabichi, hanyanisi, nebhinzi.
- Zvinwiwa zvine doro, doro, uye caffeine yakawandisa.
Kurovedza muviri uye mabasa
Unganzwa kuneta zvishoma mushure mekusvika kumba, saka zorora zvakakwana.
- Kurovedza muviri zvishoma: Tanga kurovedza muviri zvishoma, zvakaita sekufamba netsoka, mushure mekunge chiremba wako akupa mvumo.
- Dzivisa kusimudza zvinorema: Usasimudza zvinhu zvinorema kwemwedzi kana kupfuura.
- Kutyaira: Dzivisa kutyaira mota kwenguva yakati. Kumbira chiremba wako mvumo usati watanga zvese izvi zvakare.
Zvinowanzotora mavhiki matanhatu kusvika masere kuti munhu apore zvizere. Munguva iyi, zvakakosha kuti munhu ave nemoyo murefu uye atevere mirairo yachiremba.
Mharidzo Yekuenda Nayo Kumba
- Kana wakavhiyiwa kwenguva pfupi colostomy kana ileostomy, zvinowanzoita kuti udzore kukuvara kwacho nenzira yakajairika nekuvhiyiwa kwekudzokera shure.
- Unofanira kutaurirana nachiremba wako kana kuvhiyiwa uku kwakakunakira uye kuti inguva ipi yakanakisa yekuvhiyiwa.
- Zvinotora nguva kuti muviri wako unyatsopora mushure mekuvhiyiwa, saka zvakakosha kuti uve nemoyo murefu uye upe muviri wako zororo raunoda.
- Tevedzera mirairo yachiremba wako maererano nekudya uye mabasa panguva yekupora kwako.
- Kana ukaona zviratidzo zvekunyevera zvakaita sefivha, kurwadziwa kwakanyanya, kubuda kwetsvina kubva paronda, kana kuchinja kwetsvina kusingawanzoitiki, zivisa chiremba wako nekukasika.
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